Individual provider Active NPI

Joshua Paul Degrandpre, NP-C

  • Nurse Practitioner
  • Boston, MA
National Provider Identifier
1942855663
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2262596 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2621
Phone
(857) 238-5600
Fax
(857) 238-5601
NPI assigned
Aug 8, 2019
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN276218 GA
Nurse Practitioner 363L00000X RN2262596 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2621

Mailing address

55 Fruit Street
Lunder Building Floor 6
Boston, MA 02114
Phone (978) 766-1718

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address joshua.degrandpre@emoryhealthcare.org Direct
Direct Messaging Address jdegrandpre@partners.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210427001595 MA Practitioner - Nurse Practitioner 9739513185 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Apr 15, 2021 Accepting new patients
Emory Medical Care Foundation Inc Nurse Practitioner Current Accepting new patients
General Hospital Corp Current Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Apr 15, 2021 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Decatur, GA 30030
Phone (404) 778-4889

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Fl 6
Boston, MA 02114
Phone (617) 726-8705

Interoperability endpoints

  • Direct secure messaging: degrandpre.joshua.mgh@direct.partners.masshiway.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1942855663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "LUNDER BUILDING FLOOR 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "978-766-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "857-238-5600",
            "fax_number": "857-238-5601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRANDPRE",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-08",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN276218",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2262596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joshua.degrandpre@emoryhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "Work affiliated email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "80 Jesse Hill Jr Dr SE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303033031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdegrandpre@partners.org",
            "affiliation": "N",
            "endpointDescription": "work affiliated email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "55 Fruit Street",
            "address_2": "Lunder Building Floor 6",
            "city": "Boston",
            "state": "MA",
            "country_code": "US",
            "postal_code": "02114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.